8372 (December 31, 2022). The Board may request information from the program or conduct an announced or unannounced site visit before notifying the program of the alleged deficiency. 6318 (relating to immunity from liability), a Board-regulated practitioner who participates in good faith in the making of a report of suspected child abuse, making a referral for general protective services, cooperating or consulting with an investigation including providing information to a child fatality or near fatality review team, testifying in a proceeding arising out of an instance of suspected child abuse or general protective services or engaging in any action authorized under 23 Pa.C.S. 3806. The compliance review must include information regarding accreditation, administration, clinical sites, faculty, curriculum, testing, educational resources and student body of the program. (a)As part of the CRNP program approval process, the CRNP program shall submit an outline of, and appropriate time line for, its planned evaluative process. (2)Cooperating agencies or services selected by the school shall be approved by the appropriate State and National bodies, if such exist. (i)Dietitian-nutritionists may use the title Licensed Dietitian-Nutritionist or abbreviation LDN only when they hold a current license issued by the Board. 1916. (b)An LDN shall notify the Board of a criminal conviction, plea of guilty or nolo contendere, or admission into a probation without verdict or accelerated rehabilitative disposition program within 30 days of the disposition or on the biennial renewal application under 21.723, whichever is sooner. 5943; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. 6383(b)(2). (v)Encouraging a patient to masturbate in the presence of the nurse or masturbating while a patient is present. 216.1 and 218.1). (b)Following skin testing, the size of the induration or its absence may be observed and recorded by the properly instructed registered nurse. 4755; amended July 26, 2019, effective July 27, 2019, 49 Pa.B. 2667. 1439; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. The provisons of this 21.30 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. AUTHORITY: Implementing the Nurse Practice Act [225 ILCS 65] and authorized by Section 2105-15(7) of the Civil Administrative Code of Illinois [20 ILCS 2105]. In certain health care facilities regulated by the Department of Health, the Department of Public Welfare and the Federal government, an order for the immediate, direct administration of a Schedule II controlled substance to a patient is not considered a prescription and is, therefore, not subject to the requirements in this paragraph. (C)Actual or simulated sexual activity or nudity for the purpose of sexual stimulation or gratification of any individual. The provisions of this 21.509 added March 25, 2022, effective March 26, 2022, 52 Pa.B. Article 2. 186); and section 8 of the Practical Nurse Law (63 P.S. Immediately preceding text appears at serial pages (363471) to (363472). Immediately preceding text appears at serial page (9707). 1439; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. (a)The curriculum shall be developed, implemented and evaluated by the faculty and be based on the philosophy and objectives of the school. Immediately preceding text appears at serial pages (385245) to (385246). (a)A registered nurse shall notify the Board of pending criminal charges within 30 days of the filing of the criminal charges or on the biennial renewal application under 21.29(c)(4) (relating to expiration and renewal of license), whichever is sooner. (4)Failure to comply with an audit request for continuing education documentation may subject a registered nurse to additional discipline under section 14(a)(4)(i) of the act. Box 2649, Harrisburg, PA 17105-2649; or electronically at RA-stcpsl[lowbar]course[lowbar]app@pa.gov. Immediately preceding text appears at serial pages (335510) to (335513). (ii)The Board may grant initial certification without specialty to applicants who demonstrate that their educational program does not make them eligible to take a National certification examination and who demonstrate equivalence. The provisions of this 21.504 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. (v)Knowledge checks, quizzes or other means of assessing participants understanding of the material. (c)If a nursing education program is removed from the approved list, the controlling institution shall make provision for permanent retention of student and graduate records in conformance with 21.123 and 21.125 (relating to access and use of records; and custody of records). Immediately preceding text appears at serial pages (30261). (1)In addition to lecture-based CPE courses, LDNs may apply to the Board for approval of CPE credit and the Board may, upon review by the LDN Committee, grant credit for the following: (i)Case presentations, such as grand rounds or patient case studies. The provisions of this 21.81 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. A registered nurse seeking to reinstate a suspended license shall submit, or cause to be submitted, documentation to demonstrate that the registered nurse completed 30 hours of continuing education, including at least 2 hours in approved child abuse recognition and reporting in accordance with 21.508(b), within the biennial period immediately preceding application for reinstatement. 3796, amended August 20, 2010, effective August 21, 2010, 40 Pa.B. (d)Upon approval of a continuing education activity under subsection (b), the Board will determine the number of continuing education hours awarded for the activity. (c)The curriculum shall be based on broad areas of learning but shall be limited in depth. A program may petition the Board for extension of the maximum period and the Board may, by majority vote, extend the period for good cause demonstrated by the program. 3806. The Board will base educational equivalency upon an evaluation administered by a Board-approved foreign credentials evaluator. Appropriate discussions of sexual matters between a nurse and a patient shall be fully documented in patient records. (b)Relationships with central administrative officers, interrelationships among other disciplines and services of the institution and representation on institutional councils and committees for faculty of the educational unit in nursing shall be consistent with the interaction and responsibilities accorded to other faculty members of the institution. (a)A registered nurse who has graduated from an approved professional nursing education program in the United States or Canada and who obtained licensure in another jurisdiction having passed an examination considered by the Board to be equivalent to the examination required for licensure in this Commonwealth may be granted licensure by endorsement. The provisions of this 21.509 added under section 2.1(k) of The Professional Nursing Law (63 P.S. 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. (d)The Board recognizes codes of behavior as developed by appropriate practical nursing associations as the criteria for assuring safe and effective practice. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (h)Courses in general education shall be shared with students in other programs of the controlling institution. This section cited in 49 Pa. Code 21.332 (relating to requirement of continuing education). (4)Vaginal examination using a speculum to include: (5)Application of intraocular pressure reducer. (9)A copy of the proposed budget projected. 841; amended July 1, 1983, effective July 2, 1983, 13 Pa.B. Professional relationshipThe relationship which shall be deemed to exist for a period of time beginning with the first professional contact or consultation between a licensed practical nurse and a patient and ending with the final professional contact between them. (b)An applicant for licensure by endorsement shall meet the requirements as stated in the act. The label must include the statement, Do not use after manufacturers expiration date, or similar wording. 212.1(k) and 222(a)). (d)The instructional strategies must be appropriate and consistent with the programs philosophy, mission and objectives. Facilities and resources of the program shall include the following: (1)Administrative and instructional and office personnel shall be provided with the appropriate and adequate space and equipment essential for attainment of the objectives of the program. 6196. Immediately preceding text appears at serial pages (214458) to (214459). This section cited in 49 Pa. Code 21.723a (relating to reporting of crimes and disciplinary action). 3726; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. Clinical hours must meet at least National certification requirements with a minimum of 500. The Board will make available a list of Board-approved English proficiency examinations on its web site. Both are completely searchable. The provisions of this 21.253 adopted December 25, 1987, effective December 26, 1987, 17 Pa.B. Appropriate counseling shall be given to the patient regarding the condition diagnosed and the controlled substance prescribed, administered or dispensed. The provisions of this 21.145a adopted August 24, 2012, effective August 25, 2012, 42 Pa.B. (1)A currently-licensed practical nurse who wishes to practice practical nursing during the period from the date of submission of the Applicant Data Sheet of the application for licensure until the Board makes a determination on the application for licensure or 1 year, whichever comes first, shall: (i)Submit an application for temporary practice permit for a currently-licensed practical nurse on a form provided by the Board. Practice of practical nursingThe performance of selected nursing acts in the care of the ill, injured or infirm under the direction of a licensed professional nurse, a licensed physician or a licensed dentist which do not require the specialized skill, judgment and knowledge required in professional nursing. 4755; amended July 26, 2019, effective July 27, 2019, 49 Pa.B. The provisions of this 21.23 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. Approved programThose educational programs accredited by ACEND or the American Council on Education for dietetics-nutrition education. The Board of Nursing (BON) considers RNs to be independent practitioners. (3)The LPN shall question any order which is perceived as unsafe or contraindicated for the patient or which is not clear and shall raise the issue with the ordering practitioner. The Board will make available a list of Board-approved English proficiency examinations on its web site. 6219; amended August 24, 2012, effective August 25, 2012, 42 Pa.B. 6994. This section cited in 49 Pa. Code 21.156b (relating to reporting of crimes and disciplinary action). ActThe Professional Nursing Law (63 P.S. (2)Disposables and devices adjunctive to a treatment plan. (ii)Any of the following offenses committed against a child: (A)Rape as defined in 18 Pa.C.S. (e)Course outlines that identify all aspects of each course shall be developed and readily available. (4)Facilities for obtaining adequate, well-balanced meals. 211225.5), which establishes standards for nursing schools and the conduct of nursing programs. (c)The Bureau will notify the individual, entity or organization in writing upon approval of the course and will post a list of approved courses on the Bureaus web site and the Boards web site. The provisions of this 21.368 issued under sections 6.1 and 8.1 of The Professional Nursing Law (63 P.S. (5)Performance of maintenance. 6911; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. This section cited in 49 Pa. Code 21.705 (relating to fees); 49 Pa. Code 21.721 (relating to qualifications for licensure); and 49 Pa. Code 21.724 (relating to continuing education). Scope of practice varies by state. Sign up to receive text alerts and be the first to know when this legislation is moving. The provisions of this 21.182 amended under section 506 of The Administrative Code of 1929 (71 P.S. 3345; reserved December 25, 1987, effective December 26, 1987, 17 Pa.B. If something is delegated to a paramedic by an RN in the ED, there must be authority to do so in the act or rules, and the same principles of good delegation that one uses for delegating to another RN or LPN would hold true for a paramedic, as well. If the program on provisional approval status is not in compliance within this designated time, the CRNP program will be removed from the approved list. 216.1 and 218.1). (i)Diagnosing and treating human responses to actual or potential health problems through such services as case findings, health teaching, health counseling, provision of care supportive to or restorative of life and well-being, and executing medical regimens as prescribed by a licensed physician or dentist. 4730. 4730. 1916. A volunteer license holder shall be subject to the disciplinary provisions of the act and this chapter. The provisions of this 21.29a adopted October 16, 2015, effective October 17, 2015, 45 Pa.B. (12)Administration, maintenance and discontinuance of parenteral nutrition and fat emulsion solutions. (5)Be kept at the primary practice location of the CRNP and a copy filed with the Bureau of Professional and Occupational Affairs. (b)The Board recommends that only one class be admitted per year. (c)A cooperating agency providing faculty and instruction for clinical nursing courses shall be responsible for submitting 15 copies of proposed curriculum changes to the Board prior to the announcement of change to the affiliating school. The act is intended to increase the quality of patient care by giving prescribers and dispensers access to a patients prescriptive history through an electronic data system; patients will have a thorough record of prescriptions for purposes of making educated and thoughtful health care decisions; and aid regulatory and law enforcement agencies in the detection and prevention of fraud, drug abuse and the criminal diversion of controlled substances. (d)The Board recognizes standards of practice and professional codes of behavior, as developed by appropriate nursing associations, as the criteria for assuring safe and effective practice. The provisions of this Subchapter D issued under section 2(k) of The Professional Nursing Law (63 P.S. Immediately preceding text appears at serial page (26504). (F)Aggravated indecent assault as defined in 18 Pa.C.S. IV access deviceA centrally or peripherally inserted catheter used for the purpose of intravenous infusion therapy, including peripheral short catheters, peripheral midline catheters, peripherally inserted central catheters and central catheters, including tunneled, nontunneled catheters and implanted ports. 2829; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. (3)Library holdings shall include sufficient reference titles, periodicals and other educational materials, as well as supplementary aids to achieve the objectives of the program. 5329. 667.6); and 23 Pa.C.S. (7)Falsify or knowingly make incorrect entries into the patients record or other related documents. (D)Actual or simulated sexual activity for the purpose of producing visual depiction, including photographing, videotaping, computer depicting or filming. The use of monitoring, defibrillating or resuscitating equipment, or a combination of the three, hereinafter called therapy, is a proper function of a registered nurse and is a function regulated by this section; the function may not be performed unless all of the following provisions are met: (1)The employer, through written policy, has agreed that the registered nurse may administer the therapy. 212.1(k)). The provisions of this 21.822 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (15)Perform and sign the initial assessment of methadone treatment evaluations, provided that any order for methadone treatment shall be made only by a physician. 1021110224) and other statutes which may mandate reporting of this information. 279.1(a)(3) and (7) and 279.3a(a)). This section cited in 49 Pa. Code 21.284a (relating to prescribing and dispensing drugs). (x)Engaging a child in a severe form of trafficking in persons or sex trafficking, as those terms are defined under section 103 of the Trafficking Victims Protection Act of 2000 (Division A of Pub.L. The process includes the following: (i)Immediate availability of a licensed physician to a CRNP through direct communications or by radio, telephone or telecommunications. (F)An individual 18 years of age or older who does not reside in the same home as the child but is related within the third degree of consanguinity or affinity by birth or adoption to the child. 2829. The nurse administrator shall hold an earned doctoral degree or have a specific plan for completing doctoral preparation within 5 years of appointment. (b)Faculty members shall meet the requirements of the parent institution for faculty appointments. Immediately preceding text appears at serial page (351271). Through the LAP program, PSNA members can participate in a broad range of advocacy initiatives while building relationships with elected officials. Stat . The provisions of this 21.286 issued under section 15(b) of the Medical Practice Act of 1985 (63 P.S. (b)A nursing education program may be developed only if there is an adequate faculty and adequate clinical facilities and the philosophy of the parent institution encompasses dual programs of education. This section cited in 49 Pa. Code 21.33 (relating to types of approval). (d)As a condition of biennial renewal, a CNS shall complete a minimum of 30 hours of Board-approved continuing education, in the 2 years prior to renewal as required under section 8.5(c)(2) of the act (63 P.S. 212.1(k) and 222(a)). 5345. The provisions of this 21.18a adopted September 8, 2000, effective September 9, 2000, 30 Pa.B. Each subsequent license renewal will be valid for 2 years from October 1 through September 30. (xi)Administration, maintenance and monitoring of peripheral IV therapy. 2667. (a)The prescriptive authority collaborative agreement between a physician and a CRNP who will prescribe and dispense drugs and other medical therapeutic or corrective measures, as set forth in 21.283(a) (relating to authority and qualifications for prescribing, dispensing and ordering drugs) must satisfy the following requirements. The provisions of this 21.506 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. 2667. (c)The LPN participates in the development, revision and implementation of policies and procedures designed to insure comfort and safety of patients in collaboration with other health care personnel. (i)The program shall build its professional education on a general education basis. At least 2 of the 30 hours shall be completed in approved training in child abuse recognition and reporting in accordance with 21.508(b) (relating to child abuse recognition and reportingmandatory training requirement). 2829; amended March 22, 1991, effective March 23, 1991, 21 Pa.B. 449.45); section 2.1(k) of The Professional Nursing Law (63 P.S. (a)The scope of the counseling program shall be clearly defined in accordance with the objectives of the program. 6994; amended March 25, 2022, effective March 26, 2022, 52 Pa.B. The Board will hold a hearing, within 30 days of the submission of documentation, at which the program official may appear and present additional evidence to show cause as to why approval should not be withdrawn. 6409; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. SpecialtyThe area of practice or population in which a CRNP is certified by the Board. 2829. The policies of the baccalaureate and associate degree programs shall be consistent with those of the controlling institution. A CRNP who holds current prescriptive authority approval may request, receive and sign for professional samples and may dispense professional samples to patients. (iii)Clearly defined policies relating to admission, promotion, retention, transfer, advanced placement and dismissal. 841; amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (s)Course syllabi that identify all aspects of each course shall be developed and readily available. (b)Engaging in conduct constituting a sexual violation or sexual impropriety is unprofessional conduct and will subject the licensee to disciplinary action under section 14 of the act (63 P.S. (2)Sufficient number and size of accessible classrooms, conference rooms and laboratories to meet the needs of the program, as follows: (i)Such facilities shall be attractive, with effective lighting, adequate heating and ventilation. 6319 (relating to penalties), a Board-regulated practitioner who is required to report a case of suspected child abuse or to make a referral to the appropriate authorities and who willfully fails to do so commits a criminal offense, as follows: (1)An offense not otherwise specified in paragraphs (2), (3) or (4) is a misdemeanor of the second degree. (c)Fifteen copies of the materials listed in subsection (b) shall be submitted at least 3 weeks prior to the Board meetings at which the matters are to be considered. Immediately preceding text appears at serial page (335523). BoardThe State Board of Nursing of the Commonwealth. 6196; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. (3)The dates and location of the program. 7822; amended March 25, 2022, effective March 26, 2022, 52 Pa.B. This section cited in 49 Pa.B. (8)Technical and clinical aspects of immunization, skin testing, the performance of venipuncture and the administration and withdrawal of intravenous fluids to the extent each function is an authorized function of an LPN under this chapter. A CRNP shall comply with 21.18 (relating to standards of nursing conduct). 1802; amended April 29, 1983, effective April 30, 1983, 13 Pa.B. (b)Policies, including personnel policies in effect for CRNP program faculty, must be those in effect for faculty members throughout the college or university. Sexual violationThe term includes the following offenses: (i)Engaging in sexual intercourse, indecent contact or deviate sexual intercourse with a patient during the professional relationship. (c)The Board may impose disciplinary sanctions and assess civil penalties for cause. (a)A CNS is required to maintain documentation of completion of continuing education, including: (b)Primary responsibility for documenting completion of the continuing education requirements rests with the CNS. Immediately preceding text appears at serial page (319604). (viii)Parenteral solutions and indications. 212.1(k)). The Board will base educational equivalency upon an evaluation administered by a Board-approved foreign credentials evaluator. 186); and section 8 of the Practical Nurse Law (63 P.S. (iv)Using or causing the use of any herb, nutritional supplement or drug affecting consciousness for the purpose of engaging in conduct that would constitute a sexual impropriety or sexual violation. Laws & Rules. (a)The educational policies of the educational unit in nursing shall be consistent with those of the controlling institution. Interpretations are not intended to be legally enforceable against a licensed person by the Board. (k)Learning experiences selected shall focus on the needs of the student and may not be structured to render service to the cooperating agency. (h)The director or coordinator and nursing faculty of the program shall be afforded the time and opportunity to engage in leadership activities within their profession as are commensurate with their educational responsibilities. The countersignature of the ordering practitioner shall be obtained in accordance with applicable regulations of the Department of Health governing the licensed facility. 1986). (8)Insert or remove any IV access device, except a peripheral short catheter. The provisions of this 21.148a issued under section 17.6 of the Practical Nurse Law (63 P.S. (4)Disclose any discipline imposed by a state licensing board in the previous biennial period or any criminal charges pending or criminal conviction, plea of guilty or nolo contendere, or admission into a probation without verdict or accelerated rehabilitative disposition program during the previous biennial period unless prior notification has been made under 21.723a (relating to reporting of crimes and disciplinary action). The nurse anesthetists performance shall be under the overall direction of the chief or director of anesthesia services. If requesting an extension due to illness, the applicant shall provide certification of the illness from the applicants treating physician. (g)Cooperating agencies shall be subject to the following provisions: (1)Agreements to utilize field agencies outside the structural control of the controlling institution shall be initiated by the educational unit in nursing. Immediately preceding text appears at serial page (385263). 2667. 218.5(c)(2)), unless the requirement is waived by the Board under 21.823(b) (relating to CNS-level continuing education; waiver; sanctions) or the CNSs certification is on inactive status. The provisions of this 21.822 amended under section 2.1(k) of The Professional Nursing Law (63 P.S. 6994; amended October 16, 2015, effective October 17, 2015, 45 Pa.B. (f)Approval by the Board shall be obtained before the educational unit in practical nursing may utilize a new clinical agency for learning experiences. The minimum rate for graduates to pass the National licensure examination are as follows: (1)A nursing education program shall achieve and maintain a minimum pass rate of 60% or more of its first-time examinees during an examination year. 521; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. (4)Complete a feasibility study which shall include: (ii)Identification of available clinical resources for program implementation based on the projected enrollment and faculty. (a)An LDN shall notify the Board of pending criminal charges within 30 days of the filing of the criminal charges or on the biennial renewal application under 21.723 (relating to license renewal), whichever is sooner. When the Board is empowered to take disciplinary or corrective action against a practical nurse for conduct defined as a sexual violation or sexual impropriety, the nurse will not be eligible for placement into an impaired professional program under section 16.2 of the act (63 P.S. (5)Activities sponsored by regionally-accredited institutions of higher education. (3)Notwithstanding any civil penalty assessed under paragraph (1), failure to provide the Board with documentation demonstrating the completion of 30 hours of approved continuing education within 6 months after receiving notice of a deficiency will subject the registered nurse to discipline under section 14(a)(3) of the act. (4)Medical records. The provisions of this 21.30a amended under section 2.1(k) of The Professional Nursing Law (63 P.S. The Report wassubmitted toHouse of Representatives on June 30th, 2015. (c)Adequate funds shall be allocated and properly budgeted for the sound and effective operation of the CRNP program. Immediately preceding text appears at serial page (117197). In addition, they retain accountability for patient outcomes associated with delegation. 6409. is outlined by the practice of nursing and the laws governing the profession consistent with their level of licensure (Russell 2017, 22) . (6)Leave an assignment prior to the proper reporting and notification to the appropriate department head or personnel. The graduate nursing core must include the following content: (ii)Health care policy and organization.
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